AMY SUSAN BOYD (NPI# 1780214619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780214619 |
| Entity Type | Individual |
| Full Name | AMY SUSAN BOYD |
| Credential | RPH |
| Practice Address |
45 Plaza Dr Anna IL 62906-2034 |
| Practice Telephone | 6185496272 |
| Mailing Telephone | 6188334521 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051288334 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801099890 | Amy Whitmire Boyd | Allergy & Immunology | 528 Broad St Se Ste B, Gainesville, GA 30501-3728 | 2007-06-07 |
| 1114134939 | Amy Boyd | Physical Therapist | 9776 Dogwood Ave, Palm Beach Gardens, FL 33410-4760 | 2007-05-17 |
| 1598882409 | Amy Boyd | Optometrist | 204 Us Highway 80 E, Mesquite, TX 75149-1656 | 2007-03-23 |
| 1376880336 | Amy Locklin Boyd | Pharmacist | 4739 Highway 90, Pace, FL 32571-1403 | 2013-01-10 |
| 1558628933 | Amy Boyd | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2012-04-23 |
| 1689945750 | Amy R Boyd | Physical Therapy Assistant | 8520 S 36th Ter, Fort Smith, AR 72908-8880 | 2012-01-22 |
| 1700173994 | Amy Boyd | Behavioral Analyst | 1000 W Wilshire Blvd, Oklahoma City, OK 73116-7030 | 2011-07-07 |
| 1518253707 | Amy Boyd | Pharmacist | 87 Wagner Rd, Monaca, PA 15061-2421 | 2011-06-26 |
| 1972798403 | Amy Boyd | Psychologist | 16 N Boylan Ave, Suite 106, Raleigh, NC 27603-1446 | 2007-09-07 |
| 1689693376 | Amy P Boyd | Anesthesiology | 235 Tyson Ave, Paris, TN 38242-4544 | 2006-07-19 |
| Street Address |
45 PLAZA DR |
| City | ANNA |
| State | IL |
| Zip Code | 62906-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407880214 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 45 Plaza Dr, Anna, IL 62906-2034 | 2006-07-10 |
| 1942809983 | Gracie Nicole Tate | Pharmacist | 45 Plaza Dr, Anna, IL 62906-2034 | 2020-10-21 |
| 1669071650 | Michael Kenneth Retz | Pharmacist | 45 Plaza Dr, Anna, IL 62906-2034 | 2020-10-20 |
| 1184264723 | Tara Lyn Jacobs | Pharmacist | 45 Plaza Dr, Anna, IL 62906-2034 | 2020-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265711600 | Community Integrated Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 110 Jeni Lane, Anna, IL 62906 | 2011-08-16 |
| 1508153768 | Union County Counseling Services Inc | Clinic/Center | 202 South St, Anna, IL 62906 | 2011-07-07 |
| 1326335589 | Union County Counseling Services Inc | Clinic/Center | 302 South St, Anna, IL 62906 | 2011-07-07 |
| 1063709228 | Union County Counseling Services Inc | Community Based Residential Treatment Facility, Mental Illness | 311 W Vienna St, Anna, IL 62906 | 2011-07-07 |
| 1598920928 | Steven Wayne Vincent | Dentist | 131 West Vienna Street, Anna, IL 62906 | 2008-07-24 |
| 1427236900 | Cardinal House Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 Douglas Street, Anna, IL 62906 | 2008-02-06 |
| 1992913719 | High Chiropractic Center | Chiropractor | 35 Walton Lane, Anna, IL 62906 | 2007-05-18 |
| 1023235678 | Chuck C. Bugle | Psychologist | 311 W. Spring St., Anna, IL 62906 | 2007-04-18 |
| 1922194604 | Nancy Kay Webb | Physical Therapist | 515 E Vienna Street, Suite I, Anna, IL 62906 | 2006-10-04 |
| 1144242918 | William W Mings | Psychiatry & Neurology | 204 South St, Anna, IL 62906 | 2006-07-24 |
| Find all providers in zip 62906 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809983 | Gracie Nicole Tate | Pharmacist | 45 Plaza Dr, Anna, IL 62906-2034 | 2020-10-21 |
| 1669071650 | Michael Kenneth Retz | Pharmacist | 45 Plaza Dr, Anna, IL 62906-2034 | 2020-10-20 |
| 1184264723 | Tara Lyn Jacobs | Pharmacist | 45 Plaza Dr, Anna, IL 62906-2034 | 2020-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392223 | Michelle To | Pharmacist | 2252 Aster Ct, Naperville, IL 60565-8893 | 2020-09-29 |
| 1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1578176061 | Omolara Akintilo | Pharmacist | 3254 Toulouse, Bourbonnais, IL 60914-4554 | 2020-08-25 |
| 1972120285 | Susan F. Michaelis | Pharmacist | 405 W South St, Arlington Heights, IL 60005-1703 | 2020-07-02 |
| 1730701392 | Alexander Tam-phan Nguyen | Pharmacist | 773 N Silver Leaf Ln, Round Lake, IL 60073-5267 | 2020-05-17 |
| 1336769074 | Shakeel Ahmed | Pharmacist | 1471 E Business Center Dr Ste 500, Mt Prospect, IL 60056-6082 | 2020-04-22 |
| 1780214668 | Rikii A Pyle | Pharmacist | 1704 W Deyoung St, Marion, IL 62959-1054 | 2020-01-20 |
| 1629608773 | Madeline Lea Taitt | Pharmacist | 3637 Herrin Rd, Carterville, IL 62918-3156 | 2020-01-16 |
| 1235769464 | Joshua David Chady | Pharmacist | 550 E Industrial Park Rd, Murphysboro, IL 62966-3947 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.